A PATH TO HOPE Registration (January 2025)

Individual Retreat Registration Form
Name*

First NameLast Name
City & State (no street address or Zip code required)*

Street Address Line 1

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Email (Please enter your email twice to assure that it's correct.)*

Confirmation Emailexample@example.com
Phone Number*
A day or two before January 6, you'll receive an email with instructions for how to access the retreat video reflections and a link to the songbook.
Select a Zoom conversation preference.*
Select a Zoom conversation preference.*
Select a Zoom conversation preference,*
If you'd like to give someone this retreat as a gift, click this link.

GIFT RETREAT REGISTRATION
Any other comments or questions?

Retreat Registration*

Registration Fee (per person)

$100.00 Quantity

Total

$0.00

Credit Card

Apple Pay

Individual Retreat Registration Form